Validation of a global scale to assess the quality of interprofessional teamwork in mental health settings
Validation of a global scale to assess the quality of interprofessional teamwork in mental health settings
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验证全球规模以评估心理健康环境中跨专业团队合作的质量
DOI：
10.1080/09638237.2016.1207232
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发表时间：
2017
影响因子：
3.3
通讯作者：
S. Reeves
中科院分区：
文献类型：
--
作者：
Ryoko Tomizawa;Mayumi Yamano;M. Osako;N. Hirabayashi;Nobuo Oshima;M. Sigeta;S. Reeves
摘要背景：目前很少有量表可以通过团队成员对心理健康环境中合作的看法来评估跨专业团队合作的质量。目的：本研究的目的是修订和验证跨专业量表，以评估住院精神科单位的团队合作质量，并在多个国家使用。方法：进行文献综述以确定评估性团队合作工具并制定额外的 12 个项目以确保广泛的全球关注。焦点小组讨论利用 11 名参与者在项目预测试中的主观判断来考虑对不同护理系统的适应。调查中使用国际比较设计对数据质量、结构有效性、再现性和内部一致性进行了调查。结果：探索性因素分析得出 5 个因素 21 个项目：“以患者/社区为中心的护理”、“协作沟通”、“专业间冲突”、“角色明确”和“环境”。美国和日本表现出较高的整体内部一致性、可重复性、足够的表面效度和合理的结构效度。结论：修订后的协作实践评估工具（CPAT）是评估精神病学跨专业团队合作质量并确定提高团队绩效的最佳策略的有效措施。此外，修订后的量表将为国际精神病学合作实践提供更严格的证据。
Abstract Background: Few scales currently exist to assess the quality of interprofessional teamwork through team members’ perceptions of working together in mental health settings. Aims: The purpose of this study was to revise and validate an interprofessional scale to assess the quality of teamwork in inpatient psychiatric units and to use it multi-nationally. Methods: A literature review was undertaken to identify evaluative teamwork tools and develop an additional 12 items to ensure a broad global focus. Focus group discussions considered adaptation to different care systems using subjective judgements from 11 participants in a pre-test of items. Data quality, construct validity, reproducibility, and internal consistency were investigated in the survey using an international comparative design. Results: Exploratory factor analysis yielded five factors with 21 items: ‘patient/community centred care’, ‘collaborative communication’, ‘interprofessional conflict’, ‘role clarification’, and ‘environment’. High overall internal consistency, reproducibility, adequate face validity, and reasonable construct validity were shown in the USA and Japan. Conclusions: The revised Collaborative Practice Assessment Tool (CPAT) is a valid measure to assess the quality of interprofessional teamwork in psychiatry and identifies the best strategies to improve team performance. Furthermore, the revised scale will generate more rigorous evidence for collaborative practice in psychiatry internationally.